Hampshire Hospitals NHS Foundation Trust - Basingstoke and North Hampshire Hospital

Case Ascertainment for 2018-19 and 2019-20 was calculated for the entire trust. Inaccuracies in the data for circumferential resection margins have been noted for this Trust for patients diagnosed 2019-20. The Hampshire Hospitals NHS Foundation Trust - Basingstoke and North Hampshire Hospital incorporates Basingstoke and North Hampshire Hospital https://www.hampshirehospitals.nhs.uk/

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This trust offers the following services:

  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • HIPEC/cytoreductive surgery
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 162 1439 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 99 92 86
– Performance status (%) 99 88 88
Patients having major resection: Trust Network National
Number of patients in Audit 81 692 15891
ASA grade 1 (%) 6 5 8
ASA grade 2 (%) 64 53 52
ASA grade 3 (%) 27 28 31
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) 1 11 7
Data completeness of:
7 Audit items for risk-adjustment (%) 98 82 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 162 1439 28523
Seen by Clinical Nurse Specialist (%) 98 64 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 50 418 7393
Undergoing major resection (%) 76 78 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 81 692 15855
Distant metastases (%) 4 6 7
Urgent or emergency surgery (%) 6 11 20
At least 12 lymph nodes excised (%) 90 80 86
Laparoscopic surgery attempted (%) 83 73 67
Risk-adjusted length of stay > 5 days (%) 67 51 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 54 525 10794
Adjuvant chemotherapy (%) 69 65 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 10 158 3481
Neoadjuvant therapy (%) 17 27 38
Circumferential resection margin: Recorded (%) 100 85 89
Circumferential resection margin: Negative (%) 100 80 82
Rectal volume 10 153 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 97 1012 19595
APER/Hartmanns (%) 16 26 36

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